WILLIAM S LONG MD (Credential# 156442) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is January 17, 2017. The license status is INACTIVE.
WILLIAM S LONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016480. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is January 17, 2017. The business address is 255 Bradley St, New Haven, CT 06510-1105. The current status is inactive.
| Licensee Name | WILLIAM S LONG MD |
| Credential ID | 156442 |
| Credential Number | CSP.0016480 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
255 Bradley St New Haven CT 06510-1105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-01-17 |
| Refresh Date | 2017-01-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547558 | 1.029067 | Physician/Surgeon | 1988-05-27 | 2015-01-01 - 2015-12-31 | INACTIVE |
| Street Address | 255 BRADLEY ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-1105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Oscar F Hills Md | 255 Bradley St, New Haven, CT 06510-1105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norka T Malberg | 255 Bradley St, New Haven, CT 06510-1105 | Professional Counselor | 2019-11-01 ~ 2020-10-31 |
| David A Carlson Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| John B Mckee Md | 255 Bradley St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jules V Coleman Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 1997-12-22 ~ 1998-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Long IIi | 2028 Chapel St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William B Nolan Md | 399 Long Ridge Rd, Bedford, NY 10506 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| William D Donovan Md | William W Backus Hospital, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ann Hess Md | 42 Long Hill Rd, Guilford, CT 06437-1870 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marilou Oh | 1 Long Wharf Dr, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| M B Shimelman Md | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie Long Pa | 126 Filbert St, Hamden, CT 06517-1314 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa L Williams | 66 Long Aly, Palenville, NY 12463-2326 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Amy J Miklos | 778 Long Ridge Rd Ste 101, Stamford, CT 06902-1265 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teunis Van Der Veen | 164 Long Mdw Hl Rd, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 1994-07-08 ~ 1996-05-01 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).